Active NPI
Willan Smith Garcia, PT
- Physical Therapist
- Liberty, NY
National Provider Identifier
1164939773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042271
- Practice address
- 21 Mill St
Liberty, NY 12754-2010 - Phone
- (845) 292-8810
- Fax
- (845) 295-9156
- NPI assigned
- Jan 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 042271 | NY | Primary |
Addresses
Primary practice location
21 Mill St
Liberty, NY 12754-2010
Mailing address
21 Mill St
Liberty, NY 12754-2010
Phone (845) 292-8810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042271 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515024000000",
"number": "1164939773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MILL ST",
"city": "LIBERTY",
"state": "NY",
"postal_code": "127542010",
"telephone_number": "845-292-8810",
"fax_number": "845-295-9156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MILL ST",
"city": "LIBERTY",
"state": "NY",
"postal_code": "127542010",
"telephone_number": "845-292-8810",
"fax_number": "845-295-9156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "WILLAN",
"middle_name": "SMITH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-04",
"last_updated": "2018-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.